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General NPI Number Information
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NPI Number | 1639839285
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Entity Type | Organization
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Legal Business Name | VERONICA V LCSW THERAPY PRACTICE
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Dates
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Enumeration Date | 12/22/2021
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 511 6TH AVE # 7259
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City | NEW YORK
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State | NY
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Zip | 10011-8436
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Country | US
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Telephone | 929-379-6560
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Fax |
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Provider Business Mailing Address
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Address Line | 447 BROADWAY FL 2 SUITE NUMBER 641
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City | NEW YORK
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State | NY
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Zip | 10013
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Country | US
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Telephone | 929-379-6560
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | VERONICA VASQUEZ
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Credential | LCSW
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Telephone | 929-379-6570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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